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512 72ND ST SE 2016-10-19
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512 72ND ST SE 2016-10-19
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Last modified
1/13/2017 3:28:55 AM
Creation date
10/18/2016 8:17:28 AM
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Template:
Address Document
Street Name
72ND ST SE
Street Number
512
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ELECTRICAL PERMIT APPLICATION <br />512 72ND ST SE <br />PROJECT ADDRESS <br />JAMES VAIL <br />Owner <br />Tenant <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />512 72ND ST SE <br />Mail Address <br />Mail Address <br />EVERETT <br />City <br />City <br />WA,98203 206-949-9517 <br />State/Zip <br />State/Zip <br />F'hone <br />F'hone <br />MM COMFORT SYSTEMS 18103 NE 68TH ST, C-200 REDMOND WA/98052 425-881-7�a20 <br />Electrical Contractor Mail Address City State/Zip Phone <br />MMC�MMC925C5 <br />State License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition} <br />Number of devices (If low voltage) <br />$450 <br />Contract Price of Work <br />:�c�lc��. � � CS <br />Contact Person (Plan Review) <br />Description of Work to Be Done: INSTALL TWO SEPERATE ZONE HEAT PUMP SYSTEIVIS <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. AN provisions of laws and ordinances governing this type of work will be completed <br />whether specifred herein or not. The granfing of a permit does not presume to give authority fo <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am autho the owner of fhis property to perform the <br />work for which applicatrorr is made comply vuith t i State Contractors Law 18.27 RCW and <br />296.200 WAC. A f� <br />11/17/15 <br />REVISED 3/20/13 <br />FEE <br />�v�° <br />PERMIT# <br />E �� ( ( - !�3 <br />
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